NPIMap

Organization Active NPI

Citizens Medical Center, Inc. Ltcu

  • Assisted Living Facility
  • Colby, KS
National Provider Identifier
1477561439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
H097101 Issued in KS
Legal business name
CITIZENS MEDICAL CENTER, INC. LTCU
Practice address
1625 S Franklin Ave
Colby, KS 67701-3722
Phone
(785) 462-8295
Fax
(785) 462-7130
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janice S McCart
Title
President and Ceo
Phone
(785) 462-8295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X H097101 KS Primary

Addresses

Primary practice location

1625 S Franklin Ave
Colby, KS 67701-3722

Mailing address

1625 S Franklin Ave
Colby, KS 67701-3722
Phone (785) 462-8295

Other names 1

  • PRAIRIE SENIOR LIVING COMPLEX Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0453022Prairie Senior Living Complex1625 S Franklin, Colby, KS 67701Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Citizens Medical Ctr-Crna9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1625 S Franklin Ave
Colby, KS 67701
Phone (785) 462-8295

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477561439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 S FRANKLIN AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013722",
            "telephone_number": "785-462-8295",
            "fax_number": "785-462-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 S FRANKLIN AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013722",
            "telephone_number": "785-462-8295",
            "fax_number": "785-462-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS MEDICAL CENTER, INC. LTCU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCART",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "785-462-8295"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "H097101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAIRIE SENIOR LIVING COMPLEX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.